TERESA B PROCTER
NPI 1497367627
Speech-Language Pathologist in Houston, TX

NPI Status: Active since August 19, 2020

Contact Information

6550 FANNIN ST STE 1723
HOUSTON, TX
ZIP 77030
Phone: (713) 441-1368

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  • Individual
  • Female
  • Years of Experience 7
  • Speech-Language Pathologist
  • Accepts Insurance
  • Accepts Medicare Approved Payment

About TERESA PROCTER

This page provides the complete NPI Profile along with additional information for Teresa Procter, a provider established in Houston, Texas with a medical specialization in Speech-language Pathologist and more than 7 years of experience. The healthcare provider is registered in the NPI registry with number 1497367627 assigned on August 2020. The practitioner's primary taxonomy code is 235Z00000X. The provider is registered as an individual and her NPI record was last updated 6 years ago. Teresa Procter operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization.

NPI
1497367627
Provider Name
TERESA B PROCTER
Gender
Female
Entity Type
Individual
Location Address
6550 FANNIN ST STE 1723 HOUSTON, TX 77030
Location Phone
(713) 441-1368
Mailing Address
1006 AURORA ST HOUSTON, TX 77009
Medical School Name
OTHER
Graduation Year
2019
Is Sole Proprietor?
Yes
Enumeration Date
08-19-2020
Last Update Date
08-19-2020
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Speech-Language Pathologist

Taxonomy Code
235Z00000X
Type
Speech, Language and Hearing Service Providers
Taxonomy Description
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Community Premier Gold 005 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
  • Community Premier Gold 021 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
  • Community Premier Silver 012 (No deductible for PCP, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
  • Community Premier Silver 020 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
  • Molina Gold Core 1640 - HMO
  • Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
  • Molina Gold Core 1640 Plus with Adult Vision - HMO
  • Molina Gold Saver 750 - HMO
  • Molina Gold Saver 750 Plus with Adult Dental and Vision - HMO
  • Molina Gold Saver 750 Plus with Adult Vision - HMO
  • Molina Gold Standard - HMO
  • Molina Silver Core - HMO
  • Molina Silver Core Plus with Adult Dental and Vision - HMO
  • Molina Silver Core Plus with Adult Vision - HMO
  • Molina Silver Saver with Four Free PCP Visits - HMO
  • Molina Silver Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Teresa Procter is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 941616163

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20210311002726

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Analysis of voice and resonance production

Analysis of voice and resonance production is a medical procedure that evaluates your voice and the quality of sound produced when you speak. It helps identify any abnormalities or changes in your voice, which could be due to various health conditions.

This service was performed 103 times for 102 patients

Study of voice box function

The study of voice box function, or laryngoscopy, involves examining your voice box, or larynx, to assess its health and function. It helps identify issues like voice disorders, throat pain, or breathing problems. It's a non-invasive, painless procedure done by a medical professional.

This service was performed 138 times for 111 patients

Treatment of speech, language, voice, communication, and/or hearing processing disorder

This treatment involves working with a specialist to improve communication skills. It could involve exercises to enhance speech clarity, language understanding, voice volume, or hearing comprehension. The goal is to enhance your ability to express and understand others effectively.

This service was performed 179 times for 59 patients

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1497367627, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
7
Unchanged
Pos 5
3
Doubled → 6
Pos 6
6
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
6
Unchanged
Pos 9
2
Doubled → 4
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 3 → 6 7 → 14 → 5 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 8 + 7 + 6 + 6 + 1 + 4 + 6 + 4 + 24 = 73

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 73 is 80. The difference is the calculated check digit.

80 - 73 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1497367627.

Other Providers at the Same Location


The following 16 providers are registered at the same or a nearby location.

Otolaryngology
6550 FANNIN ST STE 1723
HOUSTON, TX 77030
Speech-Language Pathologist
6550 FANNIN ST STE 1723
HOUSTON, TX 77030
Otolaryngology
6550 FANNIN ST STE 1723
HOUSTON, TX 77030
Audiologist
6550 FANNIN ST STE 1723
HOUSTON, TX 77030
Audiologist
6550 FANNIN ST STE 1723
HOUSTON, TX 77030
Otolaryngology
6550 FANNIN ST STE 1723
HOUSTON, TX 77030
Audiologist
6550 FANNIN ST STE 1723
HOUSTON, TX 77030
Student in an Organized Health Care Education/Training Program
6550 FANNIN ST STE 1723
HOUSTON, TX 77030
Speech-Language Pathologist
6550 FANNIN ST STE 1723
HOUSTON, TX 77030
Otolaryngology
6550 FANNIN ST STE 1723
HOUSTON, TX 77030
Student in an Organized Health Care Education/Training Program
6550 FANNIN ST STE 1723
HOUSTON, TX 77030
Student in an Organized Health Care Education/Training Program
6550 FANNIN ST STE 1723
HOUSTON, TX 77030
Student in an Organized Health Care Education/Training Program
6550 FANNIN ST STE 1723
HOUSTON, TX 77030
Student in an Organized Health Care Education/Training Program
6550 FANNIN ST STE 1723
HOUSTON, TX 77030
Speech-Language Pathologist
6550 FANNIN ST STE 1723
HOUSTON, TX 77030
Otolaryngology
6550 FANNIN ST STE 1723
HOUSTON, TX 77030

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497367627, enumerated as an "individual" on August 19, 2020.

The provider is located at 6550 FANNIN ST STE 1723 HOUSTON, TX 77030 and the phone number is (713) 441-1368.

Speech-Language Pathologist with taxonomy code 235Z00000X.

The provider might be accepting Accepts: Community Health Choice and Molina Healthcare. Please consult your insurance carrier or call the provider to verify.